| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.54 | $482.54 | $3,511.00 | |
Medica
| Facility | $573.75 | $749.97 | $1,030.13 | |
Midlands
| Facility | $821.15 | $1,089.00 | $1,969.98 | |
Sanford Health Plan
| Professional | $478.49 | $676.67 | $907.60 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |